입원한 알코올의존자의 가족지지가 삶의 질에 미치는 영향 : 금주 자기효능감의 조절효과
Effects of Family Support on Quality of Life among Alcohol Dependent Patients : Moderating Effect of Abstinence Self-Efficacy
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본 연구는 알코올의존자들의 삶의 질 증진에 대한 일차적 관심에 기반하여 가족지지의 영향력을 검증하였고, 금주 자기효능감의 조절효과를 검증하였다. 연구 결과 알코올의존자의 삶의 질에 가족지지와 금주자기효능감이 영향을 미치는것으로 나타났고, 특히 금주 자기효능감이 높을 때 알코올의존자의 삶의 질이 높아지는 것으로 확인되었다. 이러한 결과는 알코올의존 치료에 가족의 적극적인 참여와 이해가 요구된다는 것을 의미하는 것이며, 또한 회복과정의 주요변수로회복에 대한 자기효능감의 중요성을 확인한 것이다. 향후 알코올의존 치료재활과정에서 알코올의존자 중심의 치료에서더 나아가 가족들을 적극적으로 치료과정에 참여하게 하고,이들의 심리사회적 문제들을 함께 다루어주는 것이 궁극적인 알코올의존자 삶의 질 향상에 기여할 것으로 기대한다.
Abstract
Objectives Quality of life (QoL) was a important factor of treatment outcome in alcoholics. This study was to examine the relationship between family support and quality of life among alcoholics, to explore the moderating effect of abstinence self-efficacy on those relationship and to suggest practical implications for intervention services. Methods Data for this study were collected through the use of a survey instrument completed by 771 alcohol dependent admitted to inpatient treatment from 20 psychiatric hospital. Subjects were screened using the Family support, Drug Taking Confidence Questionnaire-8, World Health Organization Quality of Life Assessment Instrument. Collected data were analysed by moderated multiple regression and simple slope analysis. Results Family support was directly associated with QoL. Also the abstinence self-efficacy had moderating effects on relationship between family support and QoL. Simple slope analysis showed that the effects of family support on QoL were significant at low and high levels of abstinence self-efficacy and especially the effects of family support on QoL were more higher at the high levels of abstinence self-efficacy. Conclusion: This findings suggest that abstinence self-efficacy is an important factor to QoL among alcohol dependents. Increasing self-efficacy, family support will be improve the QoL and recovering process. Based on these findings suggest practical intervention.
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